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General NPI Number Information
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NPI Number | 1003149154
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Entity Type | Organization
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Legal Business Name | NEW PORT RICHEY OPERATING, LLC
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 7423 KAUAI LOOP ROAD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 800-724-0481
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Fax | 727-376-6926
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Provider Business Mailing Address
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Address Line | 7423 KAUAI LOOP ROAD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 800-724-0481
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Fax | 727-376-6926
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Authorized Official
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Title or Position | COO
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Name | MATTHEW THORNTON
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Credential |
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Telephone | 316-680-2939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL10594
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License Number State | FL
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